KDP Bank Authorization

AUTHORIZATION FOR BANK ACCOUNT SUBMISSION TO AMAZON/KDP
Complete all information requested.

This form must be signed and dated by the author/creator or legal guardian who owns the bank information listed below
Author/Creator Legal First and Last Name:*
Email Address:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birthdate*
Phone Number:*
Social Security Number or EIN*
ACCOUNT
First and Last Name of Bank Account Owner*
Name of Financial Institution*
Account Type:*

CheckingSavings
Account number *
Routing number *
I have double checked the bank account information entered above is accurate*

Yes
By signing below, I hereby authorize a representative of Franklin the Helper Children's Books, LLC to enter my bank information into the Amazon/KDP portal. The banking information will be utilized only for this purpose. Furthermore, I authorize Amazon/KDP via their payment service provider and my the financial institution named above, to deposit my book royalties automatically to the specified account.
Signature of Bank Account Owner *

Clear
Date*

MonthDayYear
Date
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AUTHORIZATION FOR BANK ACCOUNT SUBMISSION TO AMAZON/KDP